Individual ProviderStephanie DavisPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address300 Halket St, Level Zero, Pittsburgh, PA 15213-3108(412) 641-1230PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Davis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1841692506Provider TypeIndividualFull NameDavis, StephanieGenderFemaleSole ProprietorNoEnumeration Date9/24/2014Last Updated5/24/2021Contact InformationPractice LocationPractice Address300 Halket St, Level Zero, Pittsburgh, PA 15213-3108Phone(412) 641-1230FaxUnlisted FaxMailing LocationMailing Address300 Halket St, Level Zero, Pittsburgh, PA 15213-3108PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA057097Pennsylvania